University in High School Application

Student Name

First Name*

Middle Name

Last Name*

Mailing Address

Mailing Address*

Country

Street

City

Region

Postal Code

Date of Birth

Birthdate*

Student Contact Information

Student Email Address*

Confirm Email Address*

Student Mobile/Cell Number

Parent/Guardian Contact Information

Parent Type - Hidden Field - Auto Select Parent

Parent/Guardian Email Address*
Parents/guardians will receive emails regarding dates, policies, and procedures only as warranted.

Parent/Guardian Mobile/Cell Number

General Information

Please indicate your sex:*

Female

Male

Other

If "Other", please identify below:

Nonbinary

None of the above

Are you Hispanic/Latino?*

Yes

No

Do you qualify for free/reduced lunch?*

Yes

No

Policies and Procedures

Please read below and accept the policies and procedures of the UHS program.

Courses are intended for students who are in their junior and senior years of high school. Certain students are accepted at the discretion of the high school teacher. Certain courses require prerequisites and students will not be registered for courses unless they have taken the prerequisites and received a "C" or better.

University in High School is intended to be a part-time program; therefore, University in the High School students may NOT register for more than 11 credit hours during a single semester.

A student intending to withdrawal from a UHS course must notify the Executive Director of Special Session & Partner Programs, Lisa Jones, of their intent to withdraw before the posted withdrawal date. Notifying your guidance counselor or teacher, and not notifying the Executive Director of Special Session & Partner Programs, will not constitute a withdrawal. Failure to withdraw properly from a course will result in a grade of "F." There are no tuition refunds for withdrawals.

While no guarantee can be offered, we have found that credits earned in the UHS with a grade of “C” or better are usually accepted by American colleges and universities. Students interested in attending a particular college or university are advised to inquire about the transferability of SUNY New Paltz credits to that particular college or university prior to enrolling in a University in the High School course.

Students can request copies of their transcripts through their my.newpaltz.edu account. Access to that account is given when a student's UHS ID is first created. Transcripts will not be released if the student has an outstanding balance or hold on their account.

SUNY New Paltz reports GPA (grade point average) on a 4.0 scale. The top grade is an "A", which equals 4.0. This is the standard scale at most colleges, and many high schools use it. If your high school uses a different or weighted system, your grade will be converted to a 4.0 scale. Grading Appeals should be made within the academic year in which the student took the course.

I confirm that I have reviewed and accept the policies and procedures of the UHS program.

Yes

Read and accept your financial responsibility for the program.

I acknowledge that completing the application for UHS courses will generate charges and that these charges will be reflected in the SUNY New Paltz University in the High School Portal.

I acknowledge that all charges are subject to change without notice at the discretion of the college administration and the State of New York.

I am responsible for confirming my enrollment after I am registered for my courses.

If my plans change and I no longer wish to attend the UHS program, I am responsible for changing my registration by submitting a withdrawal from program form.

For questions about your financial responsibility, contact Student Accounts at stuacct@newpaltz.edu.

I have read and agree to the acknowledgments and authorization in the financial responsibility statement. I understand that I am agreeing to a legally binding contract to pay all tuition and fees assessed to my student account and all additional costs and expenses related to my enrollment at SUNY New Paltz. Further, I understand my responsibilities to confirm or change my enrollment.

Yes

Affirmation of Application

All applicants must read and sign below:
I understand that this application cannot be processed if it is not completed according to the instructions, and that any deliberate falsification or omission of data may result in my not being registered for the course(s) at SUNY New Paltz. All information submitted is true to the best of my knowledge.

By typing your name below, you acknowledge it acts as a signature in affirming that all of the information above is correct.

Date submitted:

I have read the above information.

Yes

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